▸ Payer

primary physician care

Negotiated rates published by hospitals for primary physician care across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

194

States

Rate rows

4,229

Median neg. rate

$88

Top procedures for primary physician care

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Respiratory infections & inflammations w MCC	MS-DRG	177	19	$7,274
Colonoscopy diagnostic	CPT	45378	19	$184.11
CT head without contrast	CPT	70450	19	$1,440.97
CT head with contrast	CPT	70460	19	$1,669.08
CT head with and without contrast	CPT	70470	19	$1,928.01
CT chest without contrast	CPT	71250	19	$1,383.5
CT chest with contrast	CPT	71260	19	$2,017.16
CT chest with and without contrast	CPT	71270	19	$2,376.91
CT cervical spine without contrast	CPT	72125	19	$1,719.1
CT pelvis with contrast	CPT	72193	19	$1,920.28
CT abdomen with contrast	CPT	74160	19	$2,126.97
CT abdomen with and without contrast	CPT	74170	19	$2,549.53
CT abdomen and pelvis with contrast	CPT	74177	19	$3,763.61
CT abdomen and pelvis with and without contrast	CPT	74178	19	$4,377.34
Abdominal ultrasound complete	CPT	76700	19	$857.29
Abdominal ultrasound limited	CPT	76705	19	$656.07
Retroperitoneal ultrasound complete	CPT	76770	19	$741.88
Transvaginal ultrasound	CPT	76830	19	$672.5
Chest X-ray single view	CPT	71045	19	$288.99
Chest X-ray 2 views	CPT	71046	19	$624.33
Upper GI endoscopy diagnostic	CPT	43235	19	$156
Cardiac arrhythmia w CC	MS-DRG	309	19	$1,429.63
CT abdomen and pelvis without contrast	CPT	74176	19	$3,075.25
EKG tracing only	CPT	93005	19	$184.27
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	19	$1,816.47
Heart failure & shock w MCC	MS-DRG	291	19	$3,901.84
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	19	$5,459.05
Kidney/UTI w MCC	MS-DRG	689	19	$1,503.11
CABG 2 arterial grafts	CPT	33534	18	$80.22
AMI discharged alive w/o CC/MCC	MS-DRG	282	18	$80.22

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Novant Health Medical Park Hospital	—	—	$115.65
Medical Park Hospital	Winston-Salem	NC	$115.65
Novant Health Huntersville Medical Center	—	—	$406.19
Presbyterian Hospital Huntersville	Huntersville	NC	$406.19
Presbyterian Hospital Matthews	Matthews	NC	$439.99
Novant Health Matthews Medical Center	—	—	$439.99
Novant Health Kernersville Medical Center	—	—	$450
Novant Health Mint Hill Medical Ctr	Charlotte	NC	$455.34
Novant Health Mint Hill Medical Center	—	—	$455.34
Novant Health Ballantyne Medical Ctr	Charlotte	NC	$575.11
Novant Health Charlotte Orthopedic Hospital	—	—	$635.59
Novant Health Clemmons Medical Center	—	—	$688.98
Novant Health Forsyth Medical Center	—	—	$789.15
Forsyth Memorial Hospital Inc	Winston Salem	NC	$789.15
Presbyterian Hospital	Charlotte	NC	$831.42
Novant Health Presbyterian Medical Center	—	—	$831.42
Thomasville Medical Center	Thomasville	NC	$882.98
Novant Health Thomasville Medical Center	—	—	$882.98
Carolinas Continuecare Pineville	Charlotte	NC	$15,554

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States with hospitals publishing rates for primary physician care.

State	Hospitals	Avg rate
NC	9	$821.95

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